PubMed1989
There are many reduction mammaplasty operations, e.g., the operations of Strombeck, Skoog, McKissock, Wiener, Pitanguy, Onizuka, etc. All of these operations can produce very good results. Nonetheless, all of these classical procedures when they are used to treat large ptotic breasts of oriental young females, have a serious disadvantage, i.e. they all leave incisional scars at the parasternal region. Which often become hypertrophic or keloid. The skin of the lower lateral part of the chest wall is looser and less likely to have hypertrophic scars than the front sternal region. On account of this, I changed my operative field of reduction mammaplasty from the lower central to the lower lateral region of the large ptotic breast since 1963. After several modifications, my present technique is about the same as the Pitanguy's operation, but there is no visible scars at the anterior surface of the chest wall because no surgery has been done here. This lower lateral technique of reduction mammaplasty had been presented at the First Conference of Aesthetic Plastic Surgery for the Orientals, held in Tokyo, Japan, on Oct. 24-26, 1988. It had received good remarks at the meeting.